Assessment Protocol

Intake Assessment

Every client receives a comprehensive 60–90 minute intake covering:

• Fall history and near-fall episodes over the past 12 months
• Medication review (with attention to fall-implicated drug classes)
• Vision screening (referrals made when indicated)
• Vitamin D, hydration, footwear, and lifestyle factors
• Cognitive screen and dual-task readiness
• Red-flag screen — vestibular, Parkinson's, peripheral neuropathy, and neurological disorders are referred back to the appropriate specialist; our program is not a substitute for that care.

Standardized Physical Measures

• Timed Up and Go (TUG) — dynamic mobility and fall-risk cutoff
• 30-second Sit-to-Stand — lower-extremity strength and endurance
• Single-Leg Stance (open/closed eyes) — static balance and postural control
• 4-Stage Balance Test — CDC STEADI–aligned
• Gait analysis — cadence, step length, symmetry, turning
• Selected Berg Balance Scale items as clinically indicated

Home Environment Assessment

An in-home visit identifies environmental risk factors and produces a written, prioritized list of modifications — from lighting and rug removal to bathroom safety and stair safety.

Re-Assessment Cadence

Standardized measures are re-scored at mid-program (week 4) and graduation (week 8), with a written comparison to intake shared with the referring provider on consent.